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施加张力的刚性贴扎对皮肤机械位移及疼痛感知变化的影响。

The effect of rigid taping with tension on mechanical displacement of the skin and change in pain perception.

作者信息

Chen Shu-Mei, Lo Sing Kai, Cook Jill

机构信息

Department of Physical Therapy, College of Health Sciences, Kaohsiung Medical University, Taiwan; Department of Rehabilitation Medicine, Kaohsiung Medical University Hospital, Taiwan.

Faculty of Liberal Arts and Social Sciences, The Education University of Hong Kong, Hong Kong, China.

出版信息

J Sci Med Sport. 2018 Apr;21(4):342-346. doi: 10.1016/j.jsams.2017.07.008. Epub 2017 Jul 14.

Abstract

OBJECTIVES

To investigate the effect of rigid taping that induces mechanical displacement of the skin on pain perception.

DESIGN

Single group experiment design with repeated measures.

METHODS

Twenty-three active healthy volunteers (12 men and 11 women) participated in the study. All participants received three different taping procedures: no tape, taping with tension, and taping without tension. The order of three taping conditions was randomised. Skin displacement was measured during taping with tension. A pressure algometer was used to measure the level of pain perception once before taping, and again after each taping condition, in one testing session. The participants were blind to the values of their pressure pain threshold (PPT) during the experimental period.

RESULTS

The mean±SD skin displacement in the condition of taping with tension was 2.58±0.49cm. There were significant differences in PPT between taping with tension and taping without tension (mean difference (mean diff)±standard error (SE) 36.43±4.22kPa, p=0.000) and no tape (mean diff±SE 44.31±3.13kPa, p=0.000). No significant difference in PPT between no tape and taping without tension was found (mean diff±SE 7.88±2.83kPa, p=0.067).

CONCLUSIONS

Taping with tension increases the threshold of pressure pain perception. Therefore, stretch and compression caused by rigid taping with tension could disturb the nociceptive signal transmission and alter pain perception.

摘要

目的

研究导致皮肤机械性移位的硬性贴扎对疼痛感知的影响。

设计

采用重复测量的单组实验设计。

方法

23名健康的活跃志愿者(12名男性和11名女性)参与了该研究。所有参与者接受三种不同的贴扎程序:不贴扎、有张力贴扎和无张力贴扎。三种贴扎条件的顺序是随机的。在有张力贴扎过程中测量皮肤移位。在一次测试过程中,使用压力痛觉计在贴扎前测量一次疼痛感知水平,在每种贴扎条件后再测量一次。在实验期间,参与者对其压力痛阈(PPT)的值不知情。

结果

有张力贴扎条件下的平均±标准差皮肤移位为2.58±0.49厘米。有张力贴扎与无张力贴扎之间的PPT有显著差异(平均差值(mean diff)±标准误(SE)36.43±4.22千帕,p = 0.000),与不贴扎之间也有显著差异(平均差值±标准误44.31±3.13千帕,p = 0.000)。未发现不贴扎与无张力贴扎之间的PPT有显著差异(平均差值±标准误7.88±2.83千帕,p = 0.067)。

结论

有张力贴扎会提高压力疼痛感知阈值。因此,有张力的硬性贴扎所引起的拉伸和压迫可能会干扰伤害性信号传递并改变疼痛感知。

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